Pamela J Daffern
Internist Allergist & Immunologist
1020 Tijeras Ave Ne Suite 22
Albuquerque
, New Mexico 87106-4749
Pamela J Daffern
Internist Allergist & Immunologist
1020 Tijeras Ave Ne Suite 22
Albuquerque
, New Mexico 87106-4749
(505) 843-9037
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About
Features
Specialties
- Allergist & Immunologist
- Internist
Languages spoken
- English
Location
First Address
- Pamela J Daffern
- 1020 Tijeras Ave Ne Suite 22
- Albuquerque, NM
- Zip : 87106-4749
- Fax : (505) 843-9037
- Phone : (505) 848-3124
Second Address
- Pamela J Daffern
- 1020 Tijeras Ave Ne Suite 22
- Albuquerque, NM
- Zip : 87106-4749
- Fax : (505) 843-9037
- Phone : (505) 848-3124
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FAQs
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Is Pamela J Daffern a sole practitioner?
Is Pamela J Daffern accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 0101059354 | VA |
| N | 207R00000X | Internist | 0101059354 | VA |
| N | 111NI0900X | Internist | 0101059354 | VA |
National Provider Identifier
| NPI | 1043309107 |
|---|---|
| Provider Name | Pamela J Daffern |
| First Address | Albuquerque, NM 87106-4749 |
| Second Address | Albuquerque, NM 87106-4749 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 03/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1396970281 | GROUP NPI (01) | VA |
| 1598933145 | GROUP NPI (01) | NM |
| 94507520 | (05) | NM |
| E10745 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.